Timothy Adams, M.D.
Individual provider Active NPI Psychiatry Physician · Benbrook, TX
NPI 1235524349 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1235524349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- S0831 (TX)
- Practice address
- 6320 Southwest Blvd Ste 207
Benbrook, TX 76109-6961 - Phone
- (817) 735-4430
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0831 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy Adams, M.D., P.a. | Psychiatry | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | S0831 | TX | Yes |
Addresses
Primary practice location
6320 Southwest Blvd Ste 207
Benbrook, TX 76109-6961
Mailing address
6320 Southwest Blvd Ste 207
Benbrook, TX 76109-6961
Phone (817) 735-4430
Other practice location 1
1500 S Main St
Ft Worth, TX 76104-4917
Phone (817) 702-3431
Other providers in Benbrook, TX
- . Robert F. Benningfield D.D.S. Inc.
- Abbi Home Care, Inc.
- Laura Patricia Abell
- Active Health Physical Medicine, PLLC
- Sadie Adams
- Gabrielle Elisabeth Adamson
- Adjust Your Fitness Chiropractic PLLC
- Austin Slate Admire
- Ads Psychological Services, PLLC
- Albertsons LLC
All providers in Benbrook, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.